Centre for Healthcare Assistive & Robotics Technology Charting Future Healthcare Delivery

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1 Centre for Healthcare Assistive & Robotics Technology Charting Future Healthcare Delivery

2 Rapidly Aging Population in Singapore Rapidly aging population of Singapore

3 3

4 Meeting the Challenges i. Enabling Productivity Gains and Supporting Aging Workforce Enabling manpower across care settings to discharge their clinical and operational duties more efficiently. Augmenting /substituting labour-intensive and occupational hazardous aspects of operations, allowing them to work longer. Also to help increase job value and thus able to attract more locals into the professions. ii. Improving Health and Clinical Outcomes Assisting care teams to extend human capabilities and deliver improved health and clinical outcomes, indirectly increasing staff and patient/caregiver satisfaction. iii. Smart health facilities Interoperability for machines, IOT and building management to decrease installation and operating costs iv. Supporting our ageing population and facilitating care in the community Reducing the overall demand for our healthcare facilities like nursing homes. Aims to connect individuals at home with society and health services.

5 Paving the Future for Healthcare By co-developing technologies The Centre for Healthcare Assistive and Robotics Technology (CHART) is designated to build prototypes of smart systems and the ecosystem for development of suitable technologies to enable Hospitals of the future and Hospital to Home. 1. Hospitals of Future Robotics-enabled precision care and medicine, with smaller scales for Community Hospitals, Nursing Homes and Day residential care Aim Equip smart healthcare institutions that can deliver care with fewer manpower per bed 2. Hospital to Home Robotics-enabled care and aging in place at home, with home grade equipment for consumer use Aim Enable seniors to age in place for longer at home, with the help of technology to support transitions in care and complement or replace the lack of full time caregivers Smart Ward integrated with Smart Logistics Robotics Assisted Community Enabled Support Robotics Middleware Framework Decision support Algorithms Artificial Intelligence Standards and Conformance for accreditation and testing of technology developed

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7 1. Assistive technology for independent living and dementia care Robotics in Healthcare Areas for Application 2. Rehabilitation technology to restore functionality 5. Medical Procedures & Training 3. Virtual hospital 4. Automation of process and manual labour 7

8 Improving Clinical Outcomes through Healthcare Robotics and IOT Robotics in Healthcare - Rehabilitation Rehabilitative technologies to empower patients to train and re-gain functional independence. Suitability for Asia population & cultural context. Gait robot Rehab games Braces

9 Smart technologies coupled with healthcare process innovation Standalone technologies Physical process of nurse measuring and recording patient s physiological parameters Manual rounding & documentation with standalone medical technology Integrated Systems Captured parameters automatically sent to centralised dashboard; no nurse in data capture process Digitalising collection of health & medical data to Electronic Medical Records (EMR) IoT Use of robotics and assistive technology to reduce time spent on manual and repetitive tasks for more direct patient care Process transformation coupled with IoT technology to drive automation through electronic ordering Artificial Intelligence Robotics Predictive analytics supporting autonomous activation of care and logistics based on prescribed clinical pathway Care transformation by integrating clinical pathways with predictive analytics to deliver personalised & precision medicine SMART WARD

10 CLMM Closed Loop Medication Management

11 Robotics in Healthcare Logistics HOSPI Autonomous Mobile Robot Ad-hoc delivery of medication, documents and blood samples independently throughout the hospital.

12 Reducing non-core work through technology and job redesign Allow nurses to perform at top of license More time to provide direct patient care Expanded nursing roles Pharmacists have more time for medication reconciliation and patient education at frontline Reduction in rework rates Improvement in patient safety and waiting time

13 Our robots highway

14 Integration needs Enormous Diversity of Robotics Platforms. Most of them proprietary. Challenging to integrate. Robot to Robot. Robot to Infra. Robot to Medical Devices and Systems.

15 Hardware modularity Compatible Robotic Arm Sensors Mobile Base Standardised controllers

16 What can be standardised? Charging EMI/EMC Middleware framework Terrain Processes/ Procedures Speed/ Endurance/ Durability Human Interaction Cybersecurity Hardware Interfaces Communication Protocols Safety Performance

17 Work ahead Robots moving out of cages and working beside humans how do we ensure adequate standards and risk assessments, safety through testing (eg. Human contact force limits) and insurance? Continuous efforts to provide evidence-based cost-effective care, driving both personalised and population health management. Can machines learn wrongly? More elderly patients are living alone, and with caregivers getting older. Many countries envisage a robot in every home. Do we need new laws for privacy and cyber-security? Need to prepare our population to work productively longer in their lives both in healthcare and in the general population. Need for process re-designs, infrastructure upgrades and workforce transformation to happen in tandem. Need for open-source codes to drive innovation, balanced with clinical validation/certification for proven care 17

18 Thank You

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